scholarly journals Post-CaRMS match survey for fourth year medical students

2020 ◽  
Author(s):  
Megan Clark ◽  
Sachin Shah ◽  
Lee Kolla ◽  
Stephanie Marshall ◽  
Sara Bryson ◽  
...  
Keyword(s):  
Financial Burden ◽  
School Experiences ◽  
High Demand ◽  
Chi Square ◽  
Medical Graduates ◽  
Match Process ◽  
Volunteer Leadership ◽  
Fourth Year Medical Students ◽  
Quantitative Results ◽  
Residency Match

Background: We aimed to analyze which medical school experiences contribute to success in an increasingly competitive CaRMS match. Methods: We surveyed all matched University of Saskatchewan 2019 medical graduates on characteristics of their applications: number of program applications, interviews obtained, experiences (research, volunteer, leadership), awards and money spent on the residency match process, and qualitative reflections on the process. Using published CaRMS statistics based on number of positions versus applicants, specialties were divided into high availability/low demand (HA) (e.g. family and internal medicine) and low availability/high demand (LA) (e.g. dermatology and emergency medicine). Quantitative results were analyzed using descriptive statistics, chi-square and t-tests, and qualitative results thematically. Results: Data from 27 of 94 matched students were included. LA applicants were more likely to report at least one research project on their CV (66.67% among LA vs. 15.38% among HA, n = 27, χ2 = 8.640, p = 0.013), with a greater number of research presentations (mean=3.75 presentations vs. 2.07, t (25) = -2.251, p = 0.033). LA applicants had more elective weeks outside Saskatchewan (mean 11.75 weeks vs. 7.40 weeks, t (25) = -2.532, p = 0.018). Other application variables were not different between groups. Some students endorsed broader electives strategies, others (especially in surgical disciplines) supported narrower ones. Students reported travel, financial burden, document submission, and uncertainty as the greatest match process stressors. Conclusions: LA applicants cited more research projects and presentations, spent more elective weeks outside Saskatchewan, but were otherwise similar to HA applicants. Further studies should be done on student factors in the residency match process.

scholarly journals The Impact of Away Rotations on the Ophthalmology Residency Match

2021 ◽  
Vol 13 (01) ◽  
pp. e19-e25
Author(s):  
Hanna L. Tso ◽  
Jason Young ◽  
Charline S. Boente ◽  
Chi Wah Yung
Keyword(s):  
Medical Students ◽  
Selection Process ◽  
Categorical Variables ◽  
Host Institution ◽  
Chi Square ◽  
Rank List ◽  
Residency Selection ◽  
Fourth Year Medical Students ◽  
The Impact ◽  
Residency Match

Abstract Background The ophthalmology residency match is highly competitive, and fourth-year medical students frequently complete away rotations at other institutions hoping to increase their chances of matching. Objective The study aimed to determine the impact of away rotations on the ophthalmology residency selection process and to provide recommendations to faculty for counseling fourth-year medical students as they prepare for the ophthalmology match. Methods A survey was sent in June 2020 to program directors (PDs), medical student educators (MSEs), and residents at 119 accredited ophthalmology residency programs via the Association of University Professors of Ophthalmology e-mail listserv. The 43 PDs and 38 MSEs who responded were asked questions about their views regarding away rotations and visiting students during the residency selection process. The 83 resident respondents were asked about their interview and match success after completing away rotations. Categorical variables were analyzed by Chi-square test. Results The majority of PDs and MSEs typically recommend that fourth-year medical students complete away rotations (p = 0.022 and p = 0.194, respectively). The majority believe that an away rotation will increase the chance of the applicant matching with the host institution (p = 0.004 and p = 0.001, respectively). The vast majority of PDs were more likely to offer an interview to a visiting student compared with another equally qualified applicant (p < 0.001). However, only one-third of PDs were typically more likely to rank an away rotator higher on their rank list (p = 0.047). Two-thirds of residents completed at least one away rotation in medical school (mean = 1.7 rotations). The majority received interview invitations from at least some of their host institutions (p < 0.001). Approximately one-fifth ultimately matched at a host residency program (p < 0.001). Conclusion The majority of ophthalmology PDs and MSEs surveyed recommend that fourth-year medical students complete away rotations and believe that these rotations will increase the chance of the applicant matching at a host institution. The PDs are more likely to offer an interview to a visiting student compared with another equally qualified applicant. For some programs, visiting students may also receive special consideration by being ranked higher on a program's rank list and being more likely to match.

scholarly journals Perawatan Diri Pada Pasien Gagal Jantung

2018 ◽  
Vol 4 (2) ◽  
Author(s):  
Dwi Prihatiningsih ◽  
Tiwi Sudyasih
Keyword(s):  
Heart Failure ◽  
Care Management ◽  
Financial Burden ◽  
Self Care ◽  
Chi Square ◽  
Cross Sectional ◽  
Low Frequencies ◽  
Heart Failure Patients ◽  
Failure Index ◽  
Care Behavior

ABSTRAKGagal jantung merupakan salah satu penyakit kardiovaskuler yang paling sering terjadi di seluruh dunia yang mengakibatkan tingginya angka mortalitas, morbiditas dan juga berdampak secara finansial terutama bagi lanjut usia. Rehospitalisasi merupakan masalah umum yang sering terjadi pada pasien gagal jantung yang sebagain besar disebabkan oleh keterlambatan dalam pengenalan gejala, pengobatan dan ketidakpatuhan diet serta kurangnya pengetahuan dan keterampilan dalam melakukan perawatan diri. Panduan penanganan gagal jantung menekankan pentingnya perilaku perawatan diri untuk menurunkan kekambuhan dan rehospitalisasi pada pasien gagal jantung. Penelitian ini bertujuan untuk menggambarkan perilaku perawatan diri pada pasien gagal jantung yang mengunjungi poliklinik jantung di RSUD Panembahan Senopati Bantul. Penelitian ini merupakan penelitian deskriptif quantitatif dengan menggunakan pendekatan cross sectional. Sampel berjumlah 74 responden yang merupakan pasien rawat jalan di poliklinik jantung pada bulan Juni hingga Juli 2018. Alat ukur yang digunakan adalah Self-Care of Heart Failure Index (SCHFI), (skor ≥70 poin=adekuat). Uji statistik chi-square digunakan untuk mengetahui hubungan antara factor sosiodemografi dengan perilaku perawatan diri pada pasien gagal jantung. Hasil penelitian ini menunjukkan bahwa perilaku perawatan diri pada sebagian besar responden masih belum adekuat dengan frekuensi perilaku perawatan diri adekuat yang masih rendah (pemeliharaan: 45±13.1 (7.7%), pengelolaan: 46±20.4 (13.0%) dan kepercayaan: 69±16.5 (38.5%)). Hanya satu faktor yaitu penyakit penyerta yang berhubungan dengan perilaku perawatan diri pada pasien gagal jantung pada dimensi kepercayaan diri. Hasil penelitian ini menunjukkan bahwa sebagian besar responden memiliki perilaku perawatan diri yang tidak adekuat seperti juga pada negara-negara lainnya sehingga diperlukan upaya untuk meningkatkan perilaku perawatan diri pada pasien gagal jantung. ABSTRACTHeart failure (HF) is one of the most prevalent cardiovascular diseases in the world which associated with significant mortality, morbidity, and huge financial burden, particularly among aging population. Rehospitalization remain a concern in the care of the heart failure patient which largerly associated with delay in symptoms recognition, treatment, diet non-compliance and also lack of knowledge and skills in heart failure self-care. Guideline on HF emphasize the important of self care in preventing symptoms and hospital readmission. This study aims to describe self-care behavior in a sample of heart failure patients. This is a descriptive cross-sectional study with non-probabilistic sample of 74 in an out-patient heart clinic from June-July 2018. Self-care was measured using the Self-Care of Heart Failure Index (SCHFI), (scores ≥70 points=adequate self-care). Chi-square test was conducted to test whether participant’s characteristics associated with self-care behavior among heart failure patients in three scales. The result shows that self-care was inadequate in most scales (self-care maintenance: 43.4±11.8, self-care management: 49.4±18.5 and self-care confidence: 68,6±14.5. Low frequencies of participants with adequate self-care also observed in the study (self-care maintenance: 5.4%, self-care management: 15.4%) and self-care confidence: 36.5%)). In self-care confidence subscale, higher scores of the SCHFI were associated with no comorbid conditions (p=0.01). None of the sociodemographic and clinical characteristics of the sample were associated with increased self-care in other 2 sub-scales. In conclusion, study shows that self-care in HF is inadequate, interventions aimed at improving self-care espescially in self-care maintenance sub-scale are greatly needed. Additional studies are needed to determine the best approach for this. 

scholarly journals Career prospects among dental and medical residents: A cross-sectional study

2019 ◽  
Vol 2 ◽  
pp. 48-52
Author(s):  
Abdul Saheer ◽  
Aishwarya Suresh ◽  
Shabnam Shaji ◽  
Arya Rajendran ◽  
Ashik Muhammed ◽  
...  
Keyword(s):  
Medical Profession ◽  
Cross Sectional Study ◽  
Medical Residents ◽  
Chi Square ◽  
Cross Sectional ◽  
Medical Graduates ◽  
Medical Sector ◽  
Chi Square Test ◽  
Medical Category ◽  
Self Administered Questionnaire

Introduction: Career is the progress and actions taken by a person throughout lifetime, especially those related to that person’s occupation, and is often composed of the jobs held, titles earned, and work accomplished over a long period of time. It plays a very important role in the success of one’s life. Aim: The aim was to compare the career prospects among medical and dental residents in a private institution in Thodupuzha, Kerala. Materials and Methods: The study included a total of 60 medical residents and 52 dental residents and was carried out using a self-administered questionnaire. Descriptive statistics and Chi-square test were performed for statistical analysis. P < 0.05 is considered to be statistically significant. Results: In medical profession, it was found that majority (71%) of the residents were satisfied with their career. In dental category, 88% wished for medical sector, whereas in medical category, 60% would opt for engineering. It was reported that poor pay scale among 54% of the medical category and 59% of dental residents suggested less job in the market was the reason for dissatisfaction. Majority (73%) in medical residents and a very minimal (23%) of the dental residents would recommend the own profession to the fellow colleagues (P < 0.05). Conclusion: The dental residents were found to be dissatisfied with their career compared with medical graduates. Better job perspectives and better placements need to be created. Endorsement of effective policies is required.

scholarly journals Social Media Vaccine Websites: A Comparative Analysis of Public and Moderated Websites

2018 ◽  
Vol 46 (3) ◽  
pp. 454-462 ◽  
Author(s):  
Jo Ann Shoup ◽  
Komal J. Narwaney ◽  
Nicole M. Wagner ◽  
Courtney R. Kraus ◽  
Kathy S. Gleason ◽  
...  
Keyword(s):  
Social Media ◽  
The Internet ◽  
Discussion Boards ◽  
Discussion Forums ◽  
Chi Square ◽  
Inaccurate Information ◽  
Search Terms ◽  
Quantitative Results ◽  
Vaccine Information ◽  
Observation Period

The internet is an important source of vaccine information for parents. We evaluated and compared the interactive content on an expert moderated vaccine social media (VSM) website developed for parents of children 24 months of age or younger and enrolled in a health care system to a random sample of interactions extracted from publicly available parenting and vaccine-focused blogs and discussion forums. The study observation period was September 2013 through July 2016. Three hundred sixty-seven eligible websites were located using search terms related to vaccines. Seventy-nine samples of interactions about vaccines on public blogs and discussion boards and 61 interactions from the expert moderated VSM website were coded for tone, vaccine stance, and accuracy of information. If information was inaccurate, it was coded as corrected, partially corrected or uncorrected. Using chi-square or Fisher’s exact tests, we compared coded interactions from the VSM website with coded interactions from the sample of publicly available websites. We then identified representative quotes to illustrate the quantitative results. Tone, vaccine stance, and accuracy of information were significantly different (all p < .05). Publicly available vaccine websites tended to be more contentious and have a negative stance toward vaccines. These websites also had inaccurate and uncorrected information. In contrast, the expert moderated website had a more civil tone, minimal posting of inaccurate information, with very little participant-to-participant interaction. An expert moderated, interactive vaccine website appears to provide a platform for parents to gather accurate vaccine information, express their vaccine concerns and ask questions of vaccine experts.

scholarly journals KNOWLEDGE AND ATTITUDE OF INTERNS IN REPORTING AND EVALUATING SEXUAL ABUSE

2021 ◽  
pp. 17-19
Author(s):  
Unmesh. A.K ◽  
Bindhu Vasudevan. ◽  
Biju Bahuleyan
Keyword(s):  
Sexual Abuse ◽  
Knowledge Score ◽  
Legal Aspects ◽  
Good Knowledge ◽  
Chi Square ◽  
Medical Graduates ◽  
Validated Questionnaire ◽  
Chi Square Test ◽  
Knowledge And Attitude ◽  
And Gender

INTRODUCTION: Every year the crime rate reported against women has been on the rise but the conviction rate of offenders was found to be below 30%.This could be due to the lack of evidences against the perpetrators.Young medical graduates or interns are the first point of contact in any sexual abuse cases and the onus of collecting evidence depends on their knowledge and attitude.The present study was designed based on this back drop. METHODOLOGY: after obtaining ethics committee clearance 91 interns were recruited for the study. The data was collected using a validated questionnaire comprising of 20 questions related to knowledge and 10 questions about attitude. Based on the scores obtained they were categorised into three groups of poor, average and good knowledge. Analysis between knowledge level and gender of interns was done using chi-square test and difference in knowledge score of males and females was tested using independent sample t test. RESULTS: Of the 91 male interns 75% of males and 62.7% of females had good knowledge but this was not statistically significant.Significant difference in the attitude of male and female interns was noted. CONCLUSION: Lack of knowledge in cases of sexual abuse can result in escape of the perpetrators of this heinous crime.The training of interns regarding medicolegal aspects should be made mandatory.Further the medical students also need to be exposed to these legal aspects as a part of their training program.

scholarly journals Uso de Design Thinking como Experiência de Prototipação de Ideias no Ensino Superior

2016 ◽  
Vol 8 (1) ◽  
pp. 208-224 ◽  
Author(s):  
Amilton R.Q. Martins ◽  
Márcia Capellari ◽  
Glauber Signori ◽  
Fahad Kalil ◽  
Suellen Spinello
Keyword(s):  
Information Systems ◽  
Design Thinking ◽  
New Technologies ◽  
Third Parties ◽  
Competitive Advantages ◽  
High Demand ◽  
Qualitative And Quantitative ◽  
Quantitative Results ◽  
Future Work ◽  
Creativity And Innovation

This article presents a case of using Design Thinking in a course of an undergraduate degree. The Design Thinking offers an innovation in thinking, consisting of a cycle of steps comprising inspiration, ideation and implementation. Assuming that it has currently shown on the rise the term innovation together with the large number of startups and the high demand of enterprises to adapt new technologies and create competitive advantages in the environment in which they operate. As experiment we used the Design Thinking in a course of Creativity and Innovation in Undergraduate of Information Systems, running the steps of immersion, design, prototyping and validation, in order to generate non-existent or deficit services ideas that might be offered by third parties in the campus of the college. After the description of the steps of the experiment, are presented some qualitative and quantitative results and future work.

scholarly journals The socio-demographic factors correlated with financial toxicity among patients with breast cancer in Indonesia

2021 ◽  
Vol 10 (s1) ◽  
Author(s):  
Maelani Susilowati ◽  
Yati Afiyanti
Keyword(s):  
Breast Cancer ◽  
Breast Cancer Survivors ◽  
Financial Burden ◽  
Safety Net ◽  
Financial Toxicity ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
Cancer Types ◽  
Socio Demographic Factors

Background: Breast cancer is one of the major cancer types found among Indonesian women. This cancer diagnosis and its treatment causes perpetual financial burden for the women and their family. This study aims to identify the correlation between socio-demographics with financial toxicity among women with breast cancer in Indonesia.Design and methods: This study design was cross-sectional with 109 respondents of Indonesian breast cancer survivors who were recruited using consecutive sampling. Quantitative data were collected with a demographic and a Comprehensive Score for Financial Toxicity (COST) questionnaires, then analyzed using Chi-Square test and linear regression method.Results: The majority of the women were 18 to 55-years-old (75.2%), married (91.7%), employed (80.7%), and having moderate income (58.7%). Logistic regression analysis indicates that survivor’s family as a primary wage earner (p=0.042), low-high income (p=0.043), and dependents number (p=0.012) are significantly associated with financial toxicity.Conclusions: The financial toxicity among women with breast cancer was mainly correlated with the number of survivor’s dependent and the household income. This study encourage related parties to establish socio-economic safety net for women with breast cancer, including their families.

Abstract P265: Identifying Factors Associated With Early Transfer Death of Stroke Patients Can Improve Transfer Criteria

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Randi R Toumbs ◽  
Thanh Dao ◽  
Liang Zhu ◽  
Sean I Savitz
Keyword(s):  
Hospital Mortality ◽  
High Mortality ◽  
Financial Burden ◽  
Early Death ◽  
University Hospital ◽  
Stroke Patients ◽  
Chi Square ◽  
Exact Test ◽  
Chi Square Test ◽  
Ich Score

Introduction: Mortality is an important performance metric monitored by CMS, US News and World Report, and Vizient UHC. Large academic medical centers have high mortality given higher severity of disease and volume. We analyzed mortality of stroke patients transferred to our university hospital from community EDs. Transferring patients who die within 48 hours raises questions about resources, financial burden, and unrealistic expectations from families. We analyzed our transfer early death (TED) population to improve identification of patients who likely do not benefit from transfer out of a community hospital. Methods: Patients with DRG codes for ischemic and hemorrhagic strokes admitted from July 2018-June 2020 were identified. Transfer patients were isolated and grouped as outside hospital (OSH) or intra-system transfers. Data were analyzed for overall hospital mortality and TED mortalities and characteristics. Demographic and clinic variables were compared between intra-system and outside transfers by chi-square test, Fisher’s exact test, t test or Wilcoxon rank sum test. Results: The total stroke mortality rate was 13% with 276 deaths out of 2,145 patients. There were 171 early deaths out of 276 deaths (62%). There were a total of 923 transfer patients in the 2-year period; 76 were TED (8%) and TED accounted for 27% of all in-hospital mortality at our center. Median age of TED was 67, median NIHSS was 27, 39% were >70, and 80% were ICH with a median ICH score 4. The mean volume of ICH was 68mL (SD=55.2). There were no significant associations between age, sex and ethnicity with TED compared with patients who survived beyond 48 hrs. Among TED, 31 (41%) were from within our health system and 45 (59%) were OHS transfers. There were no significant differences among stroke type, severity (GCS, NIHSS, ICH score, MRS), or demographics between intra-system and OSH transfers. Conclusions: TED patients are more likely to have severe ICH where medical care may be futile. Strategies are needed to work with community hospitals to establish goals of care and implement approaches to provide end-of-life services at these facilities. Identification and implementation of such strategies may also reduce intra-system transfers of patients with high mortality.

Current Interview Trail Metrics in the Otolaryngology Match

2017 ◽  
Vol 156 (6) ◽  
pp. 1097-1103 ◽  
Author(s):  
Cristina Cabrera-Muffly ◽  
C. W. David Chang ◽  
Liana Puscas
Keyword(s):  
United States ◽  
Study Design ◽  
Financial Burden ◽  
The United States ◽  
Median Number ◽  
Common Reason ◽  
Web Based ◽  
Match Process ◽  
Resident Selection

Objectives To identify how applicants to otolaryngology residency determine how to apply to, interview with, and rank programs on the interview trail and to determine the extent of the financial burden of the otolaryngology interview trail. Study Design Web-based survey distributed in March and April 2016. Setting Otolaryngology residency applicants throughout the United States. Subjects and Methods Applicants to otolaryngology residency during the 2016 match cycle and current otolaryngology residents were surveyed. Results Median number of applications, interview offers, interviews attended, and programs ranked was not different during the 2016 match and the previous 5 match years. The most important factor affecting the number of applications was the need to apply widely to ensure sufficient interview offers. The most common reason for declining an interview offer was scheduling conflict. Applicants during the 2016 match spent a median of $5400 applying and interviewing for otolaryngology residency. Conclusions Median number of applications, interview offers, interviews attended, and programs ranked has not changed. The most cited reason for applying to many programs was to increase the chances of matching, but this is not statistically likely to increase match success. We advocate for continued attempts to make the otolaryngology match process more transparent for both applicants and resident selection committees, but recognize that applicants are likely to continue to overapply for otolaryngology residency positions.

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